Provider Demographics
NPI:1720598022
Name:JULES, JEAN (ARNP)
Entity Type:Individual
Prefix:
First Name:JEAN
Middle Name:
Last Name:JULES
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:MR
Other - First Name:JEAN
Other - Middle Name:
Other - Last Name:JULES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:5160 SW 158TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-5610
Mailing Address - Country:US
Mailing Address - Phone:305-970-7914
Mailing Address - Fax:
Practice Address - Street 1:843 NW 119TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33168-2336
Practice Address - Country:US
Practice Address - Phone:305-846-9789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-02
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9299041163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice